Pura Vida Smiles, Pc | |
1113 Boardman Rd Jackson MI 49202-1901 | |
(517) 768-8100 | |
(517) 780-0806 |
Full Name | Pura Vida Smiles, Pc |
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Speciality | Dentist |
Location | 1113 Boardman Rd, Jackson, Michigan |
Authorized Official Name and Position | Jason Bertollini (PRM) |
Authorized Official Contact | 8662738204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pura Vida Smiles, Pc Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Pura Vida Smiles, Pc 1113 Boardman Rd Jackson MI 49202-1901 Ph: (517) 768-8100 |
NPI Number | 1740602846 |
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Provider Enumeration Date | 01/09/2014 |
Last Update Date | 01/09/2014 |
Identifier | Type | State | Issuer |
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1740602846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 15663 (Michigan) | Primary |
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